Mercy Medical Center Clinton Intake Coordinator-ProvH in Holyoke, Massachusetts

Department:

3030_2710 Outpatient Counselng-2710

Expected Weekly Hours:

40

Shift:

Day Shift

Position Purpose:

Provides initial screening for access to all behavioral health programs. Gathers demographic and clinical information. Verifies insurance benefit information including eligibility and service authorization procedures. Maintains current knowledge of insurance companies and changes in practice. Registers patients in billing system(s) in a timely and efficient manner. Ensures that outpatient case assignment and inpatient admission criteria meet client’s presenting problem and payer requirements.

Job Description Details:

PRIMARY JOB RESPONSIBILITIES AND DUTIES:

  • Conducts initial screening and completes intake documentation for access to all behavioral health programs.

  • Uses customer service skills to assist client in clarification of level of care and type of service desired.

  • Records calls into our Behavioral Health Database to ensure appropriate tracking and enhance patient access to care.

  • Enlists assistance from supervisory or senior clinical staff regarding urgent matters and level of care determination.

  • Obtains accurate and comprehensive demographic information to ensure appropriate billing activities.

  • Verifies insurance eligibility, (i.e., runs REVS, calls insurance company) prior to scheduled appointment or admission to facility.

  • Informs client of benefit information including expected copay and deductible amounts prior to inpatient admission or outpatient intake appointment.

  • Enters data into billing system(s) completing all required functions and fields. (i.e., pay source data is complete including copay and deductibles; intake is scheduled with correct clinician based upon payer requirement, DPH due diligence is completed, Authorization’s have been obtained, entered into appropriate billing system(s).

  • Distributes outpatient intake information and inpatient admission information to sites/units in a timely and effective manner.

  • Maintains professional and positive relationships with internal and external customers.

  • Maintains current information regarding policies and procedures for all behavioral health programs.

  • Communicates workflow issues and training needs as identified to supervisor in order to improve operations.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

  • High School diploma

  • Experience in patient registration and/or insurance verification

  • Basic computer skills

  • Strong customer service orientation

  • Strong organizational skills and ability to focus on details

  • Ability to work in high volume environment. Requires strong team player and ability to work independently.

WORKING CONDITIONS:

  • Works in a well-lit, well-ventilated unit, with access to cafeteria, vending machines; sanitary facilities on the premises.

  • High volume calls, Stress, prolonged sitting. Extensive computer use.

REPORTING RELATIONSHIPS:

  • Primarily reports to Office Supervisor for technical aspects of registration.

  • Reports to Triage Supervisor, for clinical aspects of position.

  • Has no responsibility for the direct supervision of any other employees.

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Trinity Health offers rewarding careers in a community environment with all the advantages of working at one of the nation's largest health systems. We provide high-quality, people-centered care in 22 states through our network of hospitals, facilities, community-based services, and continuing care locations - including home care, hospice, Program of All Inclusive Care for the Elderly (PACE), and senior living facilities. If you are looking for a rewarding clinical or administrative position, you'll find exceptional career possibilities, opportunities for advancement and a job with meaning at Trinity Health.

Trinity Health employs more than 131,000 colleagues across 22 states. We honor and embrace a diverse representation of people, ideas and backgrounds. Our dedication to diversity is evident in our commitment to training, education, recruitment, retention and development, as well as community partnerships and supplier diversity.

Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences and health practices of the communities we serve and to apply that knowledge to produce positive outcomes. We recognize that each of us has a different way of thinking and perceiving our world, and that our differences not only serve to unite us, but also lead to innovative solutions.